Provider Demographics
NPI:1508208158
Name:WARRIOR MINISTRIES
Entity Type:Organization
Organization Name:WARRIOR MINISTRIES
Other - Org Name:WARRIORS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:VINCENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-849-3333
Mailing Address - Street 1:634 SEMMES
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-2202
Mailing Address - Country:US
Mailing Address - Phone:901-405-1298
Mailing Address - Fax:901-405-1364
Practice Address - Street 1:642 SEMMES
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-2202
Practice Address - Country:US
Practice Address - Phone:901-405-1298
Practice Address - Fax:901-405-1364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000012284251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health